Healthcare in Moscow

Unified medical information and analytical system

• Unified Medical Information and Analytical System (EMIAS)
• Department of Health of the city of Moscow
• NIIOSMM DZM GBU - Research Institute of Healthcare and Medical Management Organization

• Moscow Smart City

Cancer treatment in Moscow

Main article: Cancer treatment in Moscow

Main article: Rating of oncological hospitals in Moscow

Coronavirus COVID-19 in Moscow

Main article: Coronavirus COVID-19 in Moscow and MO

Rating of children's clinics in Moscow

Main article: Rating of children's clinics in Moscow

Procurement of medical equipment

Main article: Procurement of medical equipment in Moscow

Medical services in Moscow

Main article: Medical services in Moscow

History

2024

Moscow Department of Health signed a contract for the purchase of linen for medical institutions for 11.5 billion rubles

On January 23, 2024, it became known that the Moscow Department of Health signed a contract worth approximately 11.5 billion rubles for renting and washing textiles - bed linen, surgical sheets and gowns. The agreement was signed with the structure of the Russian company Bosco di Ciliegi LLC Outfitting Center (formerly Sporttovary Bosco LLC). Read more here.

Appointments from all doctors in all polyclinics in Moscow will be recorded on a recorder

In January 2024, the Moscow Department of Health issued an order with recommendations for communicating with a doctor during a patient's appointment. For control, the techniques will be recorded on the recorder.

To introduce audio monitoring of an outpatient doctor's appointment in all medical organizations of the state health care system of the city of Moscow, providing primary health care to adults and children (with the exception of state autonomous health care institutions of the city of Moscow, providing primary specialized health care in the profile "Dentistry"), - the document says.

The Department of Health claims that reception records will be stored for no more than one month on secure servers for possible operational assessment. It is noted that no equipment is purchased for audio recording, the equipment available to doctors is sufficient. Audio monitoring will have to be provided by an employee who will be assigned to the chief physician. He will assess what mistakes doctors make in conducting appointments or communicating with patients, and form recommendations for his team so that this does not happen again in the future, the department said. They added that the information will be confidential and will not allow determining a specific patient or doctor.

The audio recording of the reception is impersonal and confidential, stored without reference to a specific reception and does not allow identifying a specific patient or doctor. Accordingly, the content of such an audio recording is not a medical secret, the department explained.

Lawyer, partner of Korolev & Partners Ivan Kuzmin said in a conversation with RTVI that there should be some written consent to hold an audio recording of the reception. If the patient does not give consent, the refusal to take will most likely be declared illegal, he said.^[1][2]

2023

The incidence of tuberculosis in Moscow decreased by 7% over the year

In 2023, the incidence of tuberculosis in Moscow decreased by about 7% compared to the previous year. At the same time, mortality from this infectious disease in the Russian capital decreased by 33%. Such figures were announced on March 20, 2024 by the Moscow Department of Health. Read more here.

All children's intensive care units in Moscow received new medical equipment. 2.2 billion rubles were spent on this

In mid-December 2023, the Moscow mayor's office announced the completion of the program for updating the intensive care units of children's hospitals. 2.2 billion rubles were spent on this.

According to the Deputy Mayor of Moscow for Social Development Anastasia Rakova, over a year and a half, by the end of December 2023, "almost 1,500 units of the most modern medical equipment" were purchased, including 120 defibrillators-monitors, more than 120 anesthesia and respiratory devices, more than 250 incubators for newborns, more than 300 ventilators and more than 600 monitors of vital signs of the patient.

As Rakova emphasized, Moscow is implementing an integrated approach to equipping equipment in different profiles of medical care. The approach is based on the provision of the latest high-precision technology of all medical organizations, regardless of their location.

Rakova noted that the provision of resuscitation care is a key direction in each hospital, which directly affects the quality of treatment for patients in critical condition or in need of intensive care, and the use of new technologies together allows parents to be sure that the child is under the full control of doctors. Rakova added that modern methods in the anesthesiological and resuscitation departments of Moscow children's hospitals, monitoring and new technologies of surgical interventions also allow to increase the volume of planned surgical operations.

At the patient's bedside or on the operating table, it became possible to carry out so-called FAST ultrasound protocols for an immediate response to an emergency. With their help, anesthesiologists and resuscitators can ensure the safe implementation of invasive procedures, for example, when installing catheters.

On one multifunctional ventilator used in intensive care, according to indications and clinical recommendations, it is possible to use all existing invasive and non-invasive methods of respiratory therapy. This reduces the time to replace the device and other manipulations.^[3]

In Moscow, 57% of all clinical trials of drugs in Russia are carried out

In Moscow, 57% of all clinical trials of drugs in Russia are carried out against 42% in 2022. Such data are given on the official website of the capital's mayor in mid-November 2023. Read more here.

Sobyanin: 40% of Moscow's medical infrastructure has been updated in 5 years

Over five years, 40% of Moscow's medical infrastructure has been updated. The capital's mayor announced this in his Telegram channel on October 20, 2023.

We are forming a new medical framework on the basis of large multidisciplinary clinics. Changed the principle of medical care, introduced uniform algorithms and standards. Treatment effectiveness has increased significantly... In order for the quality of treatment to only improve every day, we are systematically modernizing the capital's health care... More than 40 hospital buildings were overhauled, several large medical centers and complexes were built, he wrote.

According to Sobyanin, by October 20, 2023, a multidisciplinary medical complex of the Children's City Clinical Hospital of St. Vladimir, the radiation building of the Kommunarka Moscow City Clinical Center, as well as the medical and diagnostic complex of the Moscow State Design Bureau No. 62 in Skolkovo are at work. In addition, the modernization of the infectious diseases service is being completed.

The quality of children's medical care is also a priority. For example, they expanded the newborn screening program and its spectrum, "he added.

The mayor recalled that in 2013 a "vascular network" was launched, and palliative care was taken "to a completely new level." According to the mayor, taking into account the new medical facilities built in the city, 1 million square meters of new medical facilities will be built, the same will be repaired.

Earlier in October 2023, the mayor said that a network of six flagship emergency medical care centers would be created in Moscow as part of the Metropolitan Healthcare program. Budget expenditures under the program will amount to 593.2 billion rubles, taking into account compulsory medical insurance funds - 1.02 trillion rubles. Each flagship center of the network will become a full-fledged hospital with admission and diagnostic departments, as well as operating and resuscitation rooms with modern equipment.^[4]

Annual expenditures of the Moscow budget for health care for the first time will exceed 1 trillion rubles

In October 2023, the Moscow Government approved the draft law on the capital's budget for 2024 and the planning period 2025-2026. According to the document, in 2024 the city's health care costs will amount to 593.2 billion rubles, and taking into account compulsory medical insurance funds - more than 1 trillion rubles.

With such figures, we are talking about an increase in medical costs by 11 and 12%, respectively (in 2023, the city authorities pledged 532 billion rubles. and 899 billion rubles. taking into account compulsory medical insurance, respectively). At the same time, the item of net health care costs, excluding the use of compulsory medical insurance funds, is still significantly lower than spending on other programs: for example, the authorities are going to allocate almost 1 trillion rubles (940 billion rubles) for the development of transport in 2024.

The largest city program will remain "Metropolitan Health" - free medicines, disease prevention, high-tech medical care, reconstruction and construction of hospitals and clinics and much more to maintain the health and well-being of Muscovites, - wrote Moscow Mayor Sergei Sobyanin in his Telegram channel.

It is noted that in 2024-2026. the implementation of a large-scale program for the modernization of the infrastructure of Moscow health care will continue. In particular, by the end of 2025 it is planned to complete the implementation of the second stage of the largest urban program for the modernization of the outpatient link. This will allow the introduction of a new Moscow standard in all polyclinics in Moscow.

As part of the second stage of the modernization of the capital's emergency service, it is planned to reconstruct 22 reception departments of city hospitals on the same principles as in flagship centers. The costs of providing high-tech medical care at the expense of the city budget in 2024 will amount to 14.5 billion rubles, and taking into account the CHI funds - more than 34 billion rubles.^[5]

The first "SOGAZ-Polyclinic" is open in Moscow

The first SOGAZ-Polyclinic began work in Moscow. The medical center is located on Malaya Polyanka Street, 2. This was announced by the Gas Industry Insurance Society (SOGAZ) on March 30, 2023. Read more here.

Moscow doctors wrote more than 35 million electronic prescriptions in 2 years

Moscow doctors have written more than 35 million electronic prescriptions in 2 years since the launch of the service in February 2021. This was announced in February 2023 by the press service of the mayor of Moscow. Read more here.

Moscow Department of Health signed contracts for the maintenance of medical equipment in clinics for 18.64 billion rubles

The Moscow Department of Health has signed contracts for the maintenance of medical equipment in city clinics for 18.64 billion rubles. This became known in March 2023. Read more here.

Moscow will buy medical furniture worth 5.1 billion rubles

In early March 2023, the Moscow mayor's office announced that it would conclude an offset contract with the investor for the supply of medical furniture. The winner of the auction will invest at least 250 million rubles in localizing the production of more than 80 products. In exchange, the city health department will purchase over 160 thousand units of products to equip clinics for a total of 5.1 billion rubles. Read more here.

A 7-story clinic was built in the north of Moscow, which will serve 750 patients a day

At the end of January 2023, the construction of a new adult polyclinic in the Dmitrovsky district of Moscow was completed. The 7-story building is located at: Dmitrovskoye shosse, house 107. The medical institution will accept the first patients in March 2023. Read more here.

Moscow has established its own production of dry milk mixtures

Moscow has established its own production of dry milk mixtures, which are provided by the capital's dairy kitchens. Mayor Sergei Sobyanin announced this at the end of February 2023. Read more here.

3 new children's clinics opened in Moscow

In January 2023, 3 new children's clinics were opened in Moscow. According to the mayor of the capital, Sergei Sobyanin, in the Beskudnikovsky district, the first patients began to be admitted to the new building of the children's polyclinic in Rogachevsky Lane, and in two institutions - branch No. 1 of PDH No. 48 in Kuzminki and branch No. 3 of PDH No. 125 in Bibirevo - the reconstruction was completed.

In these three polyclinics, corresponding to the new Moscow standard, about 40 thousand small Muscovites will receive medical care, - said Sobyanin.

The five-story building is designed for 250 visits per shift. Its total area is 3.4 thousand square meters. In the staff of the new clinic - 114 people, including 44 doctors. 16.5 thousand young residents of the Beskudnikovsky district will receive medical assistance here.

In the new building of the children's polyclinic in Beskudnikovsky district, pediatricians, otorhinolaryngologist, ophthalmologist, neurologist, orthopedic traumatologist, ultrasound diagnostic doctor and other specialists are receiving.

The clinic has installed modern medical equipment - X-ray machines, ultrasound, ECG, etc. The otorhinolaryngologist's office is equipped with an ENT combine, an audiometer, an audiometric noise protection cabin, a rhinolaryngofibroscope, a screening system for registering caused otoacoustic emission for the diagnosis of hearing in children.

In addition to the head building on Vsevolod Vishnevsky Street (house 4 a), the children's city polyclinic No. 15 includes two branches. Patients of the children's polyclinic No. 15 are 43.3 thousand residents of the Beskudnikovsky, Vostochnoe Degunino, Koptevo and Timiryazevsky districts. The total area of ​ ​ buildings is about 9.8 thousand square meters. The clinic is designed for more than a thousand visits per shift. 331 employees work here, including 124 doctors.

From 2011 to the beginning of 2023, 130 buildings of city, federal and private healthcare facilities were built in Moscow, including 64 polyclinics. Of these, 19 facilities were commissioned in 2022, including 11 polyclinics.

In 2023-2025, over 50 healthcare facilities are planned to be built in the capital, including about 20 polyclinics.^[6]

2022

4.2% decrease in transactions to 1.26 million

In 2022, doctors in Moscow carried out 1.26 million medical operations, which is 4.2% less than a year earlier. Such statistics in November 2023 were cited by BusinesStat analysts.

According to them, in 2018-2022. the volume of operations carried out in hospitals in the Russian capital showed multidirectional dynamics due to the difficult epidemiological and economic situation. Thus, in 2019, the indicator increased by 5.9%, and in 2020, in the context of the COVID-19 coronavirus pandemic and quarantine restrictions, a significant part of planned operations was not carried out. As a result, the number of operations performed in hospital conditions amounted to 1.18 million, which is 21.9% lower than in 2019.

In 2022, the effect of deferred demand was exhausted, as a result of which the number of operations carried out in the hospital decreased by 4.2% compared to the level of 2021. The indicator was kept from a greater fall by an increase in the availability of operations after the re-profiling of covid hospitals for standard medical needs. So, in 2022, a new hospital in Kommunarka returned to normal operation. Over the year, about 69 thousand patients were treated in the Kommunarka hospital, more than 28 thousand operations were performed, of which almost 3 thousand were using high technologies.

BusinesStat expects an annual expansion of the list of medical institutions that will provide high-tech medical care (VMP) to patients under compulsory medical insurance policies. Increasing tariffs and increasing funding from the city budget and the budget of the Federal Compulsory Medical Insurance Fund will increase the attractiveness of the compulsory medical insurance system for private clinics, as well as expand the capabilities of state medical institutions. In 2022, Muscovites were already able to receive VMP in 20 profiles in more than 40 state hospitals, the study noted.^[7]

Increase in the number of CT examinations over 5 years by 1.6 times

In 2022, 5.42 million CT scans were carried out in Moscow, which is 2% more than a year earlier. Relative to 2018, the figure increased 1.6 times, calculated in the analytical agency BusinesStat as part of a study, the results of which were published in May 2023.

According to the report, in 2022, due to sanctions and a decrease in household incomes, market growth slowed down. The impact of the COVID-19 coronavirus epidemic on the market has also begun to weaken.

The development of the tomographic diagnostics market in the capital was facilitated by active state support for the industry. Since 2019, Moscow has been conducting the second stage of modernization of the radiation service. Obsolete equipment was replaced, standards for equipping diagnostic equipment and standards for its loading in the public sector were increased. Diagnostic equipment was connected to a single information network, a reference center was created to describe research, artificial intelligence systems for processing beam data began to be actively used. All this contributed to an increase in the availability of tomographic diagnostics for residents of Moscow and an increase in the number of studies in state medical institutions. Private medical institutions in Moscow developed tomographic diagnostic services to expand the range and participation in the compulsory medical insurance program for the provision of high-tech assistance, which allowed them to increase the total flow of patients.

According to the Moscow Department of Health, in 2022, over 8.2 million radiation studies were carried out in the city on digital heavy medical equipment. Studies include computed tomography (CT), magnetic resonance imaging (MRI), X-rays, fluorography and mammography. Radiological examinations are carried out in adult urban polyclinics. The analysis of images is carried out in a single round-the-clock reference center, organized on the basis of the Center for Diagnostics and Telemedicine of the Moscow Department of Health.^[8]

The volume of donation of donated blood in Moscow for the year increased by 20 thousand liters

At the end of 2022, the blood service of the Moscow Department of Health collected almost 240 thousand liters of whole donated blood, which is 20 thousand liters more than a year earlier. Such data are given on the official website of the capital's mayor in April 2023. Read more here.

The incidence of tuberculosis in Moscow decreased by 3 times

In 2022, the incidence rate of tuberculosis of permanent residents of Moscow amounted to 7.1 people per 100 thousand population, which is 3.1 times less than in 2022. This was announced in March 2023 by the chief phthisiatrician of the Moscow Department of Health, director of the Moscow City Scientific and Practical Center for the Fight against Tuberculosis Elena Bogorodskaya at a press conference "Successes of Moscow Phthisiatry," which took place as part of World TB Day. Read more here.

Shvabe will provide service support for medical equipment in Moscow clinics

Holding "Shvabe" State Corporation Rostec put and launched a batch of mammographs and ultrasound devices in the capital's hospitals. The company will ensure the operability of medical equipment during its entire life cycle. The Schwabe company announced this on December 12, 2022. Read more here.

Sobyanin approved the free provision of eye implants to all needy Muscovites

At the end of November 2022, Moscow Mayor Sergei Sobyanin signed a decree approving the free provision of eye implants to all Muscovites in need.

With this document, the Moscow government included eye prostheses in the list of technical means of rehabilitation provided at the expense of the city budget.

Previously, eye prostheses were provided at the expense of the city only to disabled people, however, up to 50% of patients at the time of surgery are not disabled and cannot be recognized as them during a medical and social examination.

The decision of the capital's authorities will provide them with Muscovites in need and thus improve their quality of life. To get eye prostheses, patients need to take a referral to the city polyclinic and go through a medical commission - to children in the Morozov hospital, and to adults - at the ophthalmological center of the Botkin City Clinical Hospital.

Every year, specialists of the Moscow health care system carry out from 150 to 220 operations for those who need to remove the eyeball. The reason for such interventions can be intraocular tumors, terminal glaucoma, post-inflammatory and post-traumatic conditions that led to blindness and subatrophy of the eyeball. Instead of the eye, an implant is installed in patients, replacing the lost visual organ and allowing to maintain organ-reflex connections.

The eye prosthesis helps to maintain the facial mimic muscles in tone, fixes the lacrimal glands in a physiological position, is a barrier to infection in the orbital cavity, protects the eyelids from sagging, prevents the growth of the bone plates of the facial skull.

Primary prosthetics typically use 2-3 standard eye prostheses. Subsequently, the eye prosthesis is changed for children of children once a year, for adults - no more than once every two years.^[9]

Parents can now watch newborns online in three more hospitals in Moscow

Parents can now watch newborns online at three more. hospitals Moscow They can monitor their child's condition around the clock from a different smartphone electronic device. This was announced on November 18, 2022, by Anastasia Rakova the Deputy Mayor of Moscow for Social Development. More. here

Moscow Mayor's Office buys medical furniture worth 5.1 billion rubles

In mid-October 2022, the Moscow Government announced a tender for the conclusion of an offset contract for the supply of medical furniture for the city's healthcare institutions. Under the terms of the contract, the mayor's office guarantees the purchase of 80 items of furniture totaling at least 5.1 billion rubles over ten years, including racks, pedestals, cabinets, surgical tables, medical chairs.

From January to August 2022, Moscow manufacturers of medical furniture released goods worth 703 million rubles. This is 2.3 times more than in the same period in 2021, the press service of the capital's complex of economic policy and property and land relations said.

According to the head of the Department of Investment and Industrial Policy of Moscow Vladislav Ovchinsky, by October 2022, more than 90 enterprises are produced in furniture in Moscow. The city is interested in attracting new investors to the industry. For this, the capital not only concludes offset, but also provides land developers for rent without bidding for the implementation of large-scale investment projects. For example, Moscow decided to allocate a plot in the east of the capital for the construction of a building for the production of school, home and office furniture. The investor will invest 280 million rubles in this project, Ovchinsky said.

In the future, we expect a significant increase in the volume of production of these goods due to the implementation of the offset contract. Now the city has issued five such contracts for the supply of medicines, medical products and baby food with a total investment of 12.9 billion rubles, - the words of the Deputy Mayor of Moscow for Economic Policy and Property and Land Relations Vladimir Efimov are quoted in the message.[10]

Establishment of a center for testing and examination of medical devices

In early October 2022, the head of the Moscow Department of Health (DZM) Alexei Khripun signed a decree on the creation of a center for testing and examination of medical devices. It will be organized in the structure of the departmental Diagnostic Center for Laboratory Research (DCLI). The amount of expenses under the project was not disclosed. Read more here.

Moscow buys millions of medical products from one company for patients with stoma for 8.6 billion rubles

On September 28, 2022, it became known about large supplies of medical devices for patients with stoma in Moscow. The corresponding contract for 8.6 billion rubles was concluded between the capital's Department of Health and Gemamed. Read more here.

In Moscow, began to introduce digital passports of polyclinics

Digital passports began to be introduced in 9 Moscow polyclinics. They are designed to simplify the work of chief doctors and increase the efficiency of managing medical institutions. This was announced on September 8, 2022 by the vice-mayor of Moscow for social development Anastasia Rakova.

According to her, a digital passport will allow chief doctors and their deputies to monitor up-to-date statistical information on all branches and patients of a particular clinic online.

{{quote 'The chief physician will also be able, if necessary, to open the electronic medical record of a particular patient for a deeper study of his medical history. This will not only simplify work, but will also help increase the efficiency of managing the outpatient link of the capital and monitor the health of Muscovites even more efficiently and proactively, "Rakova explained. }} As reported on the website of the Moscow mayor's office, the clinic's digital passport contains complete, reliable and timely analytical information necessary for the effective management of medical organizations. With its help, managers can take into account, evaluate and analyze a wide set of medical data characterizing the work of the institution and the quality of medical care provided to it. In the interface of the passport of the clinic there are icons with signal information that notify if something happens to patients (ambulance calls, hospitalization, monitoring for certain types of diseases or, for example, deviation of laboratory tests). All this helps to make medical care better and more effective to monitor the health of each patient.

It is noted that the new digital service is similar in functionality to the passport of the site, which in 2021 became available to all pediatricians and therapists of the capital. The key difference of the novelty is that the chief doctors and their deputies now have access to summary information on all branches and sites, as well as on the medical organization as a whole. Thanks to a convenient filtering system, the tool allows you to form patient lists by branch or specific site according to the specified parameters: time period, site profile (pediatric, therapeutic, all sites), sex and age, address of residence, educational institutions, hospitalization for the selected period or social status.^[11]

Sobyanin approved free provision of glucose monitoring systems for children with diabetes

In September 2022, Moscow Mayor Sergei Sobyanin signed a decree approving the free provision of glucose monitoring systems for children with diabetes in the capital.

In accordance with the document, the Moscow government will provide all needy Moscow children under the age of 18 with type 1 diabetes with continuous glucose monitoring systems. If there are appropriate indications, prescriptions for free receipt of medical devices will be written by attending endocrinologists. Previously, monitoring systems were provided to patients exclusively by decision of the medical commission, which significantly reduced their availability.

The provision of children with systems for continuous glucose control will be carried out at the expense of the Moscow budget and in excess of the list of medical devices issued preferentially approved by the Russian Government. It is planned that about five thousand small patients will become recipients of the systems. The procedure for issuing will be determined by the metropolitan Department of Health.

In the case of type 1 diabetes mellitus, continuous control of blood glucose (up to 10 times a day or more) is critical to adjust the dose of insulin administered. However, tests performed by finger piercing negatively affect the quality of life of children and their parents. In addition, these tests are difficult to carry out at night.

It is noted that unlike classic glucometers with test strips, continuous monitoring systems use subcutaneous sensors that work for a long time. Their use provides round-the-clock monitoring of glucose levels and informing about a critical decrease or increase in this indicator.

The massive use of new systems will significantly reduce the risk of severe complications in young patients, including diabetic coma, and radically improve the quality of life of families raising children with type 1 diabetes, the Moscow mayor's office said.^[12]

Moscow Mayor's Office buys 22 thousand units of medical equipment, including CT, MRT and X-ray scanners

On August 18, 2022, the Moscow Mayor's Office announced the purchase of about 22 thousand units of medical equipment, including CT, MRT and X-ray scanners. As the deputy mayor of the capital for social development Anastasia Rakova noted, medical equipment is supplied to clinics and hospitals in the city in accordance with the previously planned plan.

Rakova clarified that from the beginning of January to mid-August 2022, more than 10 thousand units of equipment have already been received by medical institutions in Moscow, and by the end of the year more than 11.7 thousand devices are planned.

Шаблон:Quote 'City medical organizations do not experience any shortage of equipment, - assured the deputy mayor. According to her, all types of equipment are purchased with a pre-fixed delivery time, which is as close as possible to the opening or re-equipment of healthcare facilities.

As reported in the Moscow mayor's office on August 18, 2022, in 2019-2022. within the framework of life cycle contracts (LCC), more than 5.5 thousand units of medical equipment were purchased - ultrasound, endoscopic equipment, radiographic devices such as C-arc and U-arc, computer tomographs, magnetic resonance imaging, angiographs, mammographs, X-ray densitometers, incubators for newborns and more.

In accordance with the new Moscow standard of polyclinics, all analog medical equipment is gradually replaced by digital equipment, which allows it to be integrated into a single medical platform and improve the quality of diagnostics. All head buildings of polyclinics are equipped with MRI, CT, densitometers, ULTRASONOGRAPHY expert-class devices, equipment for monitoring the condition of patients with coronary disease, hearts patients after a heart attack or surgery on heart vessels. Mammographs, X-ray machines, ultrasound machines and other equipment are installed in branches.^[13]

All children's clinics in Moscow have completely switched to electronic medical records

On August 9, 2022, it became known about the complete transition of all children's clinics in Moscow to electronic medical records. Thanks to this, doctors and patients are exempt from unnecessary paperwork. Read more here.

Moscow Mayor's Office purchased 365 high-tech systems for nursing premature babies for 900 million rubles

The Moscow Mayor's Office purchased 365 high-tech systems for nursing premature babies for 900 million rubles. Anastasia Rakova, Deputy Mayor for Social Development, announced this on July 8, 2022. Read more here.

Moscow Mayor's Office has opened a medical dataset for developers of AI systems. It includes CT, MRI and mammographic images

In early June 2022, the Moscow Mayor's Office opened a medical datacet to developers of AI systems. It included CT, MRI and mammographic images. Read more here.

The speed of processing CT images by neural networks in Moscow polyclinics increased by 70%

By the end of April 2022, the speed of processing neuronets CT photographs Moscow in polyclinics for 2 years increased by 70%, and the exact definition of pneumonia caused by infection with coronavirus COVID-19 reached 94%. This was announced by the deputy mayor for social Moscow development. Anastasia Rakova

{{quote 'The beginning of the introduction of artificial intelligence technologies when assessing the results of computed tomography and X-rays almost coincided with the beginning of the spread of coronavirus in Moscow. Therefore, first of all, we used computer vision to diagnose pneumonia and determine the degree of lung damage, - said Rakova. }} According to her, at the peak of the COVID-19 pandemic, up to 30 thousand such studies were carried out per day, thanks to which it was possible to detect the disease faster and more accurately. In almost 100% of cases, the radiologist confirms that artificial intelligence correctly revealed pathologies in the pictures, she added.

By April 2022, artificial intelligence, which is used in Moscow healthcare institutions, helps to find signs of diseases in nine areas: lung cancer, COVID-19, spinal osteoporosis, thoracic aortic aneurysms, coronary heart disease, stroke, pulmonary hypertension, lung pathology on radiography and fluorography, as well as malignant breast tumors on mammography. The number of radiation studies processed exceeded 5.6 million.

Artificial intelligence helps analyze the research of more than 100 Moscow polyclinics and hospitals. The speed of smart services has increased significantly since launch: for CT images by 70%, mammography by 60%, X-ray images by 30%, Rakova said.^[14]

10 clinics in Moscow have introduced an IT system for assessing the condition of patients in order to quickly treat severe

On April 26, 2022, the mayor's office Moscow announced the introduction of a new system of work of reception departments in 10 hospitals in the city. The service allows you to quickly determine the severity of incoming patients.

As Anastasia Rakova, Deputy Mayor of Moscow for Social Development, explained, the results of assessing the patient's condition are displayed in different colors depending on severity:

• red and orange - a severe patient, resuscitation or emergency surgery is required;
• yellow - observation is necessary, such are routed for further inspection and additional studies;
• green - stable condition, the patient is transferred to the diagnostic room of the reception department

Color cues will guide the doctor how quickly it is necessary to provide assistance to a specific patient. Red and orange levels indicate a serious condition when the patient must be immediately taken to intensive care or an emergency operating room. Such people are sent to intensive observation wards, where they are immediately examined by a specialized specialist, conducts additional research and constantly monitors their condition. Patients who are assessed as stable are referred to the diagnostic rooms of the admission department.

During the initial examination of the patient, the physician enters data on his condition into the digital system: records temperature, blood pressure, respiratory rate, heart rate, saturation, as well as complaints, symptoms and history. The volume of questions can be different, it depends on the reason for the appeal and the peculiarities of the course of the disease. The service allows you to reduce the time of the initial assessment of the patient's condition to five minutes.

The new system is integrated into a single digital healthcare platform. All data entered into the system immediately falls into the patient's electronic medical history and becomes available to hospital doctors.^[15]

Center for innovative technologies in healthcare opened in Moscow

In mid-February 2022, a center for innovative technologies in healthcare was opened in Moscow. He will assist leading clinics in the implementation of advanced developments. Read more here.

Moscow Mayor's Office launched a service for training in caring for relatives

Moscow Mayor's Office has launched a service for training in caring for relatives. This was written on January 24, 2022 on the official website of the capital's mayor. Read more here.

2021

The annual number of hospitalizations in Moscow increased by 14%

In 2021, about 3.99 million hospitalizations were recorded in Moscow, which is 14% more than in 2017, when the number of cases of patient accommodation in hospitals and clinics was 3.1 million. This was announced at the end of July 2022 by BusinesStat analysts.

According to the study, in 2017-2021. the volume of hospitalizations in state hospitals in Moscow rose by 10.6%: from 3.10 to 3.43 million cases, in commercial - by 37.5%: from 0.4 million to 0.55 million cases. Public hospitals accounted for an average of 86.4% of the market, while private hospitals accounted for 13.6%.

The public sector of stationary medical services is developing due to the expansion of the territorial program of compulsory medical insurance Campus Management and budgetary allocations in terms of inpatient and high-tech medical care. Stability is ensured by an increase in the number of insured under compulsory medical insurance policies.

The main vector for the development of commercial clinics is the desire to equip hospitals at the state level, provide unique services (for example, consultations with foreign partners) and high-tech medical care. The Moscow government is gradually expanding the list of possible applicants for the provision of high-tech medical care for patients (VMP) under compulsory medical insurance policies based on private hospitals and is increasing funding.

According to BusinesStat, in 2022, due to the Russian military special operation in Ukraine, sanctions pressure on Russia increased. At the same time, direct sanctions were not imposed on the supply of medical equipment, equipment and consumables. However, due to the complication of logistics and mutual settlements, foreign partners may suspend cooperation. Finding new suppliers will require additional time and resources. The imminent increase in costs will provoke an increase in the cost of treatment in private hospitals. As a result, the commercial sector of the market will suffer more due to a reduction in effective demand for stationary medical services, researchers say.^[16]

Moscow increased the volume of high-tech cancer care by 46%

Moscow increased the volume of high-tech cancer care by 46% over 3 years: if in 2019 the number of such operations in the city's hospitals amounted to about 8 thousand, then in 2021 - about 11.5 thousand. Anastasia Rakova, Deputy Mayor of Moscow for Social Development, spoke about this in April 2022.

{{quote 'Within the framework of the Moscow oncological standard, we have created new opportunities for residents with malignant neoplasms for diagnosis and treatment. These include innovative methods of providing high-tech surgical care. Interventions on robotic surgical complexes using 3D printing technologies and many others are available to patients with an oncological diagnosis, she said (her words are quoted on the website of the mayor of Moscow). }}

Patients with malignant neoplasms undergo high-tech operations in all six anchor cancer hospitals. So, in the city clinical hospital named after S.P. Botkin and the Moscow Clinical Scientific Center (MKNC) named after A.S. Loginov perform operations with the help of robotic surgical complexes Da Vinci.

In the Botkin Hospital, operations are carried out with the help of a robot surgeon of the latest model with improved functionality. Among its capabilities are a new laser guidance system for positioning instruments and the highest quality 3D visualization. In the scientific and practical center of bone, soft tissue and skin tumors of Oncological Hospital No. 62, bone reconstruction is carried out in tumor diseases affecting the musculoskeletal system, as well as endoprosthesis and revision endoprosthesis of the joints, including using the individual design of implants printed on a 3D printer.

In Moscow, patients have free access to both common types of surgical interventions in cancer, for example, mastectomy, in which the surgeon simultaneously removes the organ and lymph nodes, and the most complex operations. Among them - reconstructive plastic, microsurgical, operations with the use of radiofrequency ablation, photodynamic therapy, cryodestruction with liquid nitrogen and others.^[17]

Moscow increased health care costs by 34.5 billion rubles

In 2021, the implementation of the state program "Metropolitan Health" in Moscow was allocated 590.9 billion rubles. Taking into account the funds of the territorial fund of compulsory medical insurance, healthcare costs in the Russian capital in 2021 amounted to 898.3 billion rubles, which is about 34.5 billion rubles more than in 2020. This is evidenced by the data of the Moscow Department of Finance, published on February 14, 2022.

In 2020, more than 10% of the production costs of the capital's budget were aimed at combating the COVID-19 coronavirus and its consequences. The share of similar costs in 2021 is not specified. It was only noted that 2021 medical institutions were built in 10, including the infectious diseases building in Kommunarka. In addition, 35 city polyclinics were repaired as part of a project to bring the capital's outpatient fund to the new Moscow standard of primary medical care.

Earlier, the head of the city department health care Alexey Khripun says that the budget for health care Moscow in 2021 included:

• 51 billion rubles for the construction and repair of clinics and hospitals;
• 3 billion rubles - for the treatment of people with atrial fibrillation, patients who have suffered myocardial infarction and stenting;
• 15.6 billion rubles - for the provision of chemotherapy assistance with the most modern targeted drugs;
• 10.9 billion rubles - to finance high-tech treatments;
• 10 billion rubles - to finance measures to prevent infectious diseases, including vaccination of the population against COVID-19;
• 10 billion rubles - for the implementation of measures under the health protection program for mothers and children.

Moscow budget revenues in 2021 reached 3.34 trillion rubles, which is 16.3% more than a year ago.^[18]

Moscow buys another 3 thousand devices for resuscitation working with COVID patients

At the end of December 2021, the Moscow mayor's office announced the purchase of more than 3 thousand more units of medical equipment for hospitals that treat patients with the COVID-19 coronavirus.

The list of purchased equipment includes ventilators, bedside monitors, infusomats, the so-called Bobrov banks, etc. The expenses for this purchase are not disclosed.

As the deputy mayor of the capital for social development Anastasia Rakova said, by the end of December 2021, the task is to prepare to the maximum for the surprises that the "omicron" - the state of coronavirus can bring.

For two years, of course, such intensive use cannot but spoil medical equipment, and various consumables cannot break. We are now purchasing more than three thousand units of medical equipment, primarily resuscitation, in order to equip and renovate the equipment of our Moscow medical clinics that work with covid, "she said in an interview with RIA Novosti.

According to her, by the end of 2021, the city authorities together with the Center. named after Gamalei (developer of the Sputnik V coronavirus vaccine) analyze which drugs used in clinical practice are effective in a new strain. Based on this analysis, the system of procurement of drugs will change, she added.

At the end of December 2021, Moscow Mayor Sergei Sobyanin spoke about how the city is preparing for a new wave of COVID-19, which can be caused by "omkiron." 50% of the bed capacity is in the "hot" reserve, 6 thousand beds are used.

We are not yet withdrawing from this hot reserve - we are constantly staying so that in the event of an outbreak of morbidity, we have enough bed capacity to provide Muscovites, - said the mayor of the capital.[19]

Moscow purchased 170 devices for collecting donated blood

On December 24, 2021, the Moscow mayor's office announced the purchase of about 170 pieces of equipment for the procurement of donated blood. The technique was received by the O.K. Gavrilov Blood Center, the N.V. Sklifosovsky Research Institute of Emergency Medicine, City Clinical Hospital No. 52 and eight other city hospitals. Read more here.

Launch of a project to simplify the patenting of inventions by medical startups

On September 29, 2021, the Moscow Center for Innovative Technologies in Healthcare of the Social Development Complex announced the launch of a joint project with Rospatent aimed at supporting medical startups in the capital. Thanks to this collaboration, novice developers will be able to register their intellectual property faster and easier. Read more here.

The number of abortions in Moscow decreased by 26%

The number medicalabortions To Moscow in 2020 decreased by 26% compared to 2019 - to 2606 from 3543 cases, respectively. Drug-induced interruptions pregnancies decreased from 392 to 304. Such statistics in September 2021 brought the head of the Department of Obstetrics and Gynecology of the Russian Medical Academy of Continuous Postgraduate formations Ministry of Health Natalia Podzolkova. More. here

Moscow has compiled a rating of AI services in the healthcare sector

Moscow compiled a rating of AI services in the field. health care This was announced in mid-September 2021 by the deputy mayor of the city for social development. Anastasia Rakova More. here

Moscow allocated 1 billion rubles for innovations in medicine

On August 11, 2021, the mayor Moscow Sergei Sobyanin announced the allocation of 1 billion rubles to support scientific developments innovations in the field. health care

We are implementing a program for the modernization of hospitals and clinics in Moscow. The effectiveness of medical care now largely depends on modern scientific developments. Therefore, we decided to allocate 1 billion rubles to support innovations in the field of medicine, - wrote the mayor of the capital on his page on the social network "VKontakte."

According to Sobyanin, the funds allocated by the city government are scientific teams and medical organizations that are engaged in the development of high-tech methods for diagnosing and treating diseases, as well as the introduction of innovative technologies in Moscow healthcare.

This will serve to strengthen the research potential of the capital's clinics and increase the effectiveness of modern medical care, the press service of the capital's mayor's office said.

They also stressed that Moscow pays special attention to medicine. New technologies and standards are being introduced into the health care system, many processes are being improved. Thus, polyclinics are modernizing and building according to the new Moscow standard: they install modern equipment, think over logistics, etc. Technologies are also used: the city has created a single digital platform that combines all electronic services.

The Institute for Statistical Research and Knowledge Economics (ISIEZ) of the Higher School of Economics has previously calculated the federal budget expenditures for health research in 2020 based on data from the Federal Treasury and the Organization for Economic Cooperation and Development. They were recorded at 52.7 billion rubles, which is 51% more compared to 2019.^[20]

Almost all maternity hospitals and perinatal centers in Moscow connected to EMIAS

On August 11, 2021, it became known that almost all maternity hospitals and perinatal centers in Moscow connected to the unified digital platform EMIAS. Thanks to the implementation of this project, as reported on the website of the mayor of the capital, the quality of medical care for patients during pregnancy, childbirth and in the postpartum period is improving, as well as improving interaction with the outpatient clinic. Read more here.

Moscow therapists choose the diagnosis proposed by the neural network in 50% of cases

In July 2021, the Moscow authorities reported that therapists in the capital's polyclinics choose the diagnosis proposed by the neural network in almost half of the cases. We are talking about the use of a system of support for medical decision-making, which was launched in all polyclinics in cities in September 2020. Read more here.

Moscow buys 6 thousand. CT, MRI and ultrasound scanners with lifelong service of equipment by suppliers

On June 23, 2021, it became known that Moscow purchases about 6 thousand units of medical equipment. Among them are computer and magnetic resonance tomographs, angiographs, mammographs, devices for X-ray and ultrasonic diagnostics. Read more here.

Creation of ANO in Moscow for the development of innovative medical technologies

At the end of March 2021, it became known about the creation in Moscow of an autonomous non-profit organization (ANO) for the development of innovative medical technologies. It will be headed by ex-deputy chairman of the ВЭБ.РФ and former first deputy chief of staff of the mayor and government of Moscow Vyacheslav Shulenin. Read more here.

Start using laboratory express blood analyzers in Moscow reanimobiles

At the end of January 2021, the Moscow mayor's office purchased 70 portable laboratory express analyzers, which will be used in automotive assistance. Read more here.

2020

Moscow's health care costs exceeded 863 billion rubles

Moscow's spending on health care in 2020 amounted to 863.8 billion rubles. This amount takes into account the funds of the territorial fund of compulsory medical insurance, said on February 8, 2021, the head of the Moscow Finance Department Elena Zyabbarova.

At the expense of the Moscow budget in 2020, additional costs were financed for the implementation of measures aimed at combating the new coronavirus infection and overcoming its consequences. This is more than 10% of all city budget expenditures. Most of the funds are used to finance the needs of Moscow health care, she said.

The head of the financial department explained that these funds were aimed at creating a system for diagnosing and providing medical care to patients with COVID-19, including expanding and repurposing the bed capacity, purchasing drugs and equipment, creating conditions for doctors to work.

According to Zyabbarova, the financing of the state program "Metropolitan Health" in 2020 reached 570.3 billion rubles, an increase of 1.8 times compared to 2019.

Over half of Moscow's budget expenditures (50.4%, or 1.514 trillion rubles) in 2020 were directed to the implementation of three city social programs: "Social Support for Moscow Residents," "Metropolitan Education" and "Metropolitan Healthcare." This is about a third more than a year ago.

590.9 billion rubles were allocated from the city budget for the state program "Social Support for Residents of Moscow." The funds went, among other things, to monthly incentive payments to social workers providing services to citizens with confirmed coronavirus infection in a hospital.

The budget of Moscow and the Campus Management OMS fund for health care in 2021 amounted to 741.9 billion rubles.^[21]

Connecting all angiographs in Moscow to a single IT system

On December 22, 2020, it became known about the connection of all angiographic complexes (allows you to determine diseases of the cardiovascular system) in hospitals Moscow to the Unified Radiological Information Service (). ERIS We are talking about 53 systems, said the Deputy Mayor of Moscow for Social Development. Anastasia Rakova More. here

All ambulances in Moscow are equipped with cardiographs with the function of remote transmission and decoding of ECG

As it became known on November 12, 2020, all ambulances in Moscow are equipped with cardiographs with the function of remote transmission and decoding of ECG. Visiting doctors receive electrocardiogram results in a few minutes. This helps to speed up the provision of qualified medical care to patients in case of suspected myocardial infarction and previous dangerous conditions. Read more here.

AI-system of diagnosis Sai Top3 Diagnosis appeared in Moscow polyclinics

On October 20, 2020, Sber announced the introduction of its AI system in Moscow polyclinics. We are talking about a solution called Sai Top3 Diagnosis, which will allow GPs and general practitioners to get a second medical opinion online. Read more here.

Moscow Department of Health buys endoscopic equipment for 6.4 billion rubles

At the end of September 2020, the Moscow Department of Health announced the purchase of endoscopic equipment in the amount of 6.44 billion rubles. Tenders are held by the state autonomous institution Gormedtekhnika belonging to the department. Read more here.

The number of applicants to the medical college of Moscow doubled

The number of applicants to Moscow medical colleges amid the COVID-19 coronavirus pandemic has doubled compared to the previous year. This was announced on August 26, 2020 by the vice-mayor of the capital for social development Anastasia Rakova. Read more here.

Moscow buys 1.1 thousand. Ultrasound scanners for 10 billion rubles

On August 18, 2020, it became known that Moscow buys about 1.1 thousand. Ultrasound scanners for 10.16 billion rubles. The tender was announced by Gormedtekhnika, which belongs to the Moscow Department of Health. Read more here.

Moscow ambulance will be equipped with portable capnographs

July 24, 2020 it became known that the Moscow ambulance will be equipped with portable devices to assess the quality of lung work. The mayor's office purchased 53 capnographs, their manufacturer is not named. Read more here.

Moscow purchased equipment for pathomorphological laboratories for 670 million rubles

On July 14, 2020, it became known that Moscow purchased equipment for pathomorphological laboratories for 670 million rubles. In total, about 300 units of equipment and 20 units of components and accessories were purchased under 13 contracts. Read more here.

Moscow begins to purchase digital X-ray machines instead of fluorographs

On June 10, 2020, it became known that Moscow was starting to purchase digital X-ray machines instead of fluorographs. This was announced health care Moscow by Sergey Morozov, chief freelance specialist in radiation and instrumental diagnostics of the department , as part of the online conference "Radiation Diagnostics of Moscow: 2019 − 2020."

According to him, the load on fluorographs is reduced in the capital, so Russia it does not make sense to keep so many devices on a scale. In this case, the use of a fluorograph can be associated with the complexity of its connection to information systems.

The indications for everyone to undergo these studies annually, of course, are excessive, so a decision was made last [2019] - Moscow is switching to the purchase of digital X-ray machines instead of fluorographs, which allow a wider range of studies, and not just chest studies, - said Morozov.

He also added that fluorography techniques no longer exist abroad, it has been replaced by digital radiography.

The transition from fluorography to digital radiography also has an economic aspect. Thus, the overhaul of the 12F7 fluorograph, with the replacement of the camera with a digital X-ray receiver, in the first year of work made it possible to reduce the cost of chest X-ray examinations by almost 50% with an increase of almost 2 times the number of studies carried out.

The results showed that with an increase in the workload on the digital fluorograph, the cost of a screening digital radiograph becomes less than the cost of a film fluorogram, and an increase in the efficiency of early diagnosis of tuberculosis reduces the cost of its treatment, as well as social benefits associated with the disability of patients with tuberculosis.^[22]

Moscow spent 10.5 billion rubles on personal protective equipment for doctors

By April 25, 2020, Moscow purchased personal protective equipment (PPE) for medical workers during the COVID-19 coronavirus pandemic for a total of about 10.5 billion rubles. This was reported in the metropolitan Department of Health.

According to the ministry, 949.2 million rubles were spent on medical masks, 9.5 billion rubles on protective suits, glasses, respirators and gloves. The department assessed the availability of PPE in medical institutions as "minimally sufficient."

Given the renewed increase in hospitalizations, the issue of PPE is indeed quite acute, and the city is working to solve it. At the same time , the volume of purchases to ensure the protection of medical workers was unprecedented, the Moscow Department of Health said, adding that purchases are ongoing.

Earlier in April 2020, the press secretary of the President of the Russian Federation Dmitry Peskov said on April 22 that any requirements of medical workers to provide them with personal protective equipment should be fulfilled. At the same time, he stressed that with such questions, doctors need to contact the regional health authorities, and "situations when some unscrupulous people are trying to use this situation for some tantrums and to wind up the situation, they are inappropriate and unacceptable."

The head of the Alliance of Doctors, Anastasia Vasilyeva , announced cooperation with the Federal Security Service - the union collects anonymous data on the lack of PPE in hospitals and transfers them to the FSB. As of April 21, the information was shared by employees of 164 medical institutions. Most respondents noted that PPE is small or not at all.

The head of the Ministry of Industry and Trade Denis Manturov at the same time admitted that in some regions the work on the distribution of PPE is not very productive.^[23]

40 polyclinics for diagnosing coronavirus will be remade in Moscow

On April 11, 2020, it became known that To Moscow 40 polyclinics would be converted to diagnose patients with suspected. coronavirus COVID-19 Medical institutions equipped with computed tomography will be transferred to outpatient centers, the deputy mayor for social development told reporters. Anastasia Rakova

Only on the basis of laboratory tests, it is not always possible to diagnose "coronavirus infection" - tests sometimes give false negative results. Therefore, we decided to create about 40 outpatient centers to work with citizens who have a suspicion of coronavirus infection, "Rakova quotes Interfax.

The new diagnostic centers will operate around the clock. Patients will be able to get into them only by ambulance or by appointment of a polyclinic doctor in case of a noticeable deterioration in health. 24-hour pharmacies will also appear in the new centers.

First of all, patients will undergo computed tomography, then ultrasound. A blood sampling and smear test for COVID-19 will definitely be carried out. In addition, a cardiogram will be made to determine the patient's treatment tactics. According to the results of a comprehensive examination, the doctor will diagnose, determine the presence or absence of pneumonia, the severity and decide on the continuation of the patient's treatment at home or hospitalization in the hospital, the deputy mayor said.

On April 11, 2020, Anastasia Rakova also said that in the next two weeks health care Moscow , up to 10 thousand beds will be additionally deployed in the system for housing infected with coronavirus. So far, 25 medical organizations in Moscow are receiving patients with coronavirus infection. Initially, it was planned to deploy about 20 thousand beds for such patients, Rakova recalled.^[24]

19 hospitals and laboratories were converted in Moscow for the diagnosis and treatment of coronavirus

On April 8, 2020, it became known that 19 hospitals and laboratories were converted in Moscow for the diagnosis and treatment of the coronavirus COVID-19. The re-equipment took place on behalf of the capital's mayor Sergei Sobyanin, his deputy Pyotr Biryukov said.

Have already prepared premises for the placement of nine new city laboratories for testing for coronavirus infection. Ten hospitals have converted departments for the treatment of infected people, another 25 continue these work, "he told reporters.

According to Biryukov, the total area of ​ ​ work is more than 63 thousand square meters, they are carried out around the clock, more than 2 thousand people are involved, three design institutes and 16 construction organizations are involved. In particular, redevelopment of buildings, repair of chambers and elevators, work is carried out on engineering networks. It is planned to complete the work during April 2020.

In addition, premises for intensive care units are being equipped, sanitary inspection facilities are being equipped, ventilation and air conditioning systems, ramps for the entrance of ambulances and disinfection points for them are being installed.

According to the press service of the deputy mayor, work on the overhaul of 21 healthcare facilities of urban significance began in mid-March, they started at 23 more healthcare facilities of federal significance in early April.

On April 6, 2020, Sergei Sobyanin opened a coronavirus hospital deployed on the basis of the medical departments of the Hospital of War Veterans No. 3. About 2 thousand beds for the treatment of patients with coronavirus will be deployed on the basis of the Sechenov Moscow State Medical University Clinic.

A new infectious diseases hospital with 500 beds is being built in the Voronovsky settlement. If necessary, the city can deploy up to 20 thousand beds for hospitalization of COVID-19 patients.^[25]

1958

1951: Air Baths

Notes